WO2014118734A3 - Unipolar and/or bipolar ablation catheter - Google Patents

Unipolar and/or bipolar ablation catheter Download PDF

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Publication number
WO2014118734A3
WO2014118734A3 PCT/IB2014/058679 IB2014058679W WO2014118734A3 WO 2014118734 A3 WO2014118734 A3 WO 2014118734A3 IB 2014058679 W IB2014058679 W IB 2014058679W WO 2014118734 A3 WO2014118734 A3 WO 2014118734A3
Authority
WO
WIPO (PCT)
Prior art keywords
ablation
unipolar
lumen
ablation catheter
bipolar ablation
Prior art date
Application number
PCT/IB2014/058679
Other languages
French (fr)
Other versions
WO2014118734A2 (en
Inventor
David Prutchi
Original Assignee
David Prutchi
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by David Prutchi filed Critical David Prutchi
Priority to US14/764,679 priority Critical patent/US10695125B2/en
Priority to CN201480002839.7A priority patent/CN104869932B/en
Priority to EP14707454.6A priority patent/EP2950734B1/en
Priority to AU2014210803A priority patent/AU2014210803A1/en
Publication of WO2014118734A2 publication Critical patent/WO2014118734A2/en
Publication of WO2014118734A3 publication Critical patent/WO2014118734A3/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/16—Indifferent or passive electrodes for grounding
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A—HUMAN NECESSITIES
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    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • A—HUMAN NECESSITIES
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    • A61B2018/00059—Material properties
    • A61B2018/00089—Thermal conductivity
    • A61B2018/00101—Thermal conductivity low, i.e. thermally insulating
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    • A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
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    • A61B2018/00505—Urinary tract
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    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B2018/124—Generators therefor switching the output to different electrodes, e.g. sequentially
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    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/1253—Generators therefor characterised by the output polarity monopolar
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    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/126—Generators therefor characterised by the output polarity bipolar
    • A—HUMAN NECESSITIES
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    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
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    • A61B2018/162—Indifferent or passive electrodes for grounding located on the probe body
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    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • A—HUMAN NECESSITIES
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    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
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    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024—Detecting, measuring or recording pulse rate or heart rate
    • A61B5/02416—Detecting, measuring or recording pulse rate or heart rate using photoplethysmograph signals, e.g. generated by infrared radiation

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)

Abstract

An ablation device and/or method of ablation may include placing one or more ablation electrodes in contact with a target tissue in a lumen. An electrical insulator may be positioned between the electrode and a lumen fluid and an electrical signal (for example a radio frequency signal) may be conveyed between the electrodes to heat and/or ablate the target tissue. Ablation may be bipolar and/or an in lumen dispersive electrode may be supplied for unipolar ablation. Ablation progress may be sensed and ablation may be adjusted to produce a desired level and/or geometry and/or distribution of ablation.
PCT/IB2014/058679 2013-01-31 2014-01-30 Unipolar and/or bipolar ablation catheter WO2014118734A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US14/764,679 US10695125B2 (en) 2013-01-31 2014-01-30 Unipolar and/or bipolar ablation catheter
CN201480002839.7A CN104869932B (en) 2013-01-31 2014-01-30 Monopole and/or bipolar ablation conduit
EP14707454.6A EP2950734B1 (en) 2013-01-31 2014-01-30 Unipolar and/or bipolar ablation catheter
AU2014210803A AU2014210803A1 (en) 2013-01-31 2014-01-30 Unipolar and/or bipolar ablation catheter

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201361759066P 2013-01-31 2013-01-31
US61/759,066 2013-01-31

Publications (2)

Publication Number Publication Date
WO2014118734A2 WO2014118734A2 (en) 2014-08-07
WO2014118734A3 true WO2014118734A3 (en) 2014-12-04

Family

ID=50190505

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/IB2014/058679 WO2014118734A2 (en) 2013-01-31 2014-01-30 Unipolar and/or bipolar ablation catheter
PCT/IB2014/058677 WO2014118733A2 (en) 2013-01-31 2014-01-30 Ablation catheter with insulation

Family Applications After (1)

Application Number Title Priority Date Filing Date
PCT/IB2014/058677 WO2014118733A2 (en) 2013-01-31 2014-01-30 Ablation catheter with insulation

Country Status (6)

Country Link
US (2) US10695125B2 (en)
EP (2) EP2950734B1 (en)
CN (2) CN104869932B (en)
AU (2) AU2014210803A1 (en)
TW (2) TW201446293A (en)
WO (2) WO2014118734A2 (en)

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US9579149B2 (en) 2014-03-13 2017-02-28 Medtronic Ardian Luxembourg S.A.R.L. Low profile catheter assemblies and associated systems and methods

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